The development of a couples-focused HIV behavioral intervention to enhance uptake of evidenced informed combination HIV preventative methods for high-risk heterosexually-identified Black youth and th

总结/摘要 目前的项目旨在通过开展以下活动，弥补目前国家艾滋病毒预防工作中的一个重要差距： 形成性研究需要制定一个证据知情的艾滋病毒行为干预，重点是非洲 美国异性恋认定的青少年夫妇。更多地使用经证实的艾滋病毒预防方法 是国家的优先事项。四种最有效的艾滋病毒预防方法是：（1） 正确和一致地使用避孕套，（2）常规定期艾滋病毒检测和护理中的联系/保留，（3）性传播感染 筛查和治疗，以及（4）开始和坚持PrEP。在上述五个证据中， 干预措施、正确和一致使用避孕套是针对青少年的艾滋病毒最常见的目标 预防干预。迫切需要的是将艾滋病毒预防结合起来， 青少年在他们的浪漫关系中。忽略了对青少年夫妇的关注 这是目前减少艾滋病毒发病率的国家战略中的一个重大差距。三阶段研究 这项研究将以综合社会行为理论和更广泛的现存文献为指导， 青少年夫妇，将进行与高风险的异性恋非洲裔美国青年生活在三个 纽约市五个行政区之一的南布朗克斯艾滋病毒和贫困高发社区。我们定义 “高危异性恋青年”是指16 - 24岁的个人，其主要伴侣是异性， 目标南布朗克斯社区之一，并至少有以下一项：（a）自我报告的性传播感染 包括在过去12个月内感染艾滋病毒，（B）有共同伴侣，（c）曾有MSM性行为，或（d）曾有 监禁。研究设计包括：对青年及其家庭成员的个人和二元定性访谈。 浪漫的伴侣，并与当地社区利益相关者（目标1），6个月的前瞻性 对夫妇进行定量研究（目标1），并使用干预映射和反馈制定干预措施 来自青年和社区利益攸关方重点小组以及与青年艾滋病毒预防工作领导人举行的科学会议 研究人员（目标3）。这项研究的总体目标是开发一个创新的，文化和 以发展为导向的、可扩展的夫妇为重点的干预措施，以提高对证据的了解 联合艾滋病毒预防方法的高风险异性恋确定黑人青年和他们的浪漫 伙伴该提案提供了一个高影响力和创新的方法来解决疾病预防控制中心和国家 艾滋病毒/艾滋病战略的目标是，通过使用大量的 需要联合的艾滋病毒预防方法。

Summary/Abstract The current project seeks to address an important gap in current national HIV prevention efforts by conducting formative research needed to develop an evidence informed HIV behavioral intervention focused on African American heterosexually identified adolescent couples. Increasing the use of proven HIV prevention methods among adolescents is a national priority. Four of the most highly effective HIV prevention methods are: (1) correct and consistent condom use, (2) routine regular HIV testing and linkage/retention in care, (3) STI screening and treatment, and (4) initiation of and adherence to PrEP. Of the above five evidenced informed interventions, correct and consistent condom use has been most regularly targeted in youth-focused HIV prevention interventions. Sorely needed are approaches that consider combination HIV prevention for adolescent within the context of their romantic relationships. The omission of the focus on adolescent couples represents a significant gap in the current national strategy to reduce HIV incidence. The three phase research study, which will be guided by integrated social behavior theories and the broader extant literature related to adolescent couples , will be conducted with high-risk heterosexual African American youth living in the three high HIV and poverty prevalence communities within the South Bronx, one of NYCs five boroughs. We define “high-risk heterosexual youth” as an individual aged 16 – 24 with a different sex primary partner that lives in one of the targeted South Bronx communities AND has at least one of the following: (a) self-reported STI including HIV in the last 12-months, (b) concurrent partner(s) (c) ever MSM sex, or (d) ever history of incarceration. The study design includes: individual and dyadic qualitative interviews with youth and their romantic partners, and focus groups with local community stakeholders (Aim 1), a 6-month prospective quantitative study with couples (Aim 1), and intervention developing using intervention mapping and feedback from youth and community stakeholder focus groups and scientific meetings with leading youth HIV prevention researchers (Aim 3). The overall goal of this research is to develop an innovative, culturally and developmentally tailored, and scalable couples-focused intervention to enhance uptake of evidence informed combination HIV preventative methods for high-risk heterosexually identified Black youth and their romantic partners. The proposal offers a high-impact and innovative approach to addressing CDC's and the National HIV AIDS Strategy goals of reducing new HIV infections in high-priority communities through use of much needed combined HIV prevention methods.